Public Sect Contract Rep. 1998 Oct;4(10):149-52.
Rural providers discover why it's a tough go in the heartland for Medicare risk. Despite changes in the Medicare risk program designed to encourage managed care for seniors in rural areas, big HMOs are withdrawing from these small markets in droves. Provider groups in Nebraska working on developing their own Medicare risk plan explain the challenges.
农村医疗服务提供者发现为何医疗保险风险项目在中部地区举步维艰。尽管医疗保险风险项目有所变革，旨在鼓励为农村地区老年人提供管理式医疗服务，但大型健康维护组织（HMO）正成群结队地撤离这些小市场。内布拉斯加州致力于制定自身医疗保险风险计划的医疗服务提供者团体解释了其中的挑战。
